Step by Step Guide for Paper Lunch Application
You can obtain a paper application from the cafeteria at the school that your children attend. If you have more than one child that attends Brunswick County Schools, you only have to fill out one application with all your children's name. Please make sure that if you fill out a paper application that is for the current year and not the previous year.
Steps to fill out Paper Lunch Application
In Section A of the paper application, please fill out the following:
In Section B of the paper application, please fill out the following:
In Section C of the paper application, please fill out the following:
In Section D of the paper application, please fill out the following:
In Section E of the paper application, please fill out the following:
Section E is the last section that you need to fill out.
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.
Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
(1) mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;
(2) fax: (202) 690-7442; or
(3) email: email@example.com.
This institution is an equal opportunity provider.